| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.08 | $74.08 | $74.08 |
Sanford Health Plan
| Professional | 26 | $86.57 | $119.52 | $140.38 |
Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.08 | $74.08 | $74.08 |
Sanford Health Plan
| Professional | 26 | $86.57 | $119.52 | $140.38 |